Yoder, Mark A.

Yoder, Mark A. is an individual health care provider with primary practice located at 830 Harrison Ave Moakley Ll100, Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Yoder, Mark A. can be contacted via phone (617) 638-7070.

Contact Information

Primary practice address
830 Harrison Ave Moakley Ll100 Boston MA 02118
Phone: (617) 638-7070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 172032 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 172032 Massachusetts

Profile Details

NPI number 1043268287
LBN Legal business name Yoder, Mark A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043268287 NPPES
Massachusetts MEDICAID 110041072A
Massachusetts MEDICAID 2104849

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